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A S Lifchez

Publications and source records attributed to A S Lifchez.

3 recordsLinked to original sources

A simpler technique for reduction of uterine septum.

Hysteroscopic resection of the uterine septum is currently the accepted technique for dealing with this congenital uterine abnormality. Its advantages over the transabdominal approach are: it can be performed on an outpatient basis, it requires minimal recovery time, and it does not commit the patient to a subsequent cesarean section. This communication reports on a new transcervical approach that does not require the use of a hysteroscope. Thirty-four patients have now undergone resection of uterine septae using this technique. The results have been consistently good, requiring a short operative time and minimal instrumentation. We have experienced no complications.

Abortion, Spontaneous↗

Reproductive outcome following conservative surgery for tubal pregnancy in women with a single fallopian tube.

Between the years 1974 and 1980, 13 patients underwent a conservative (salpingotomy) surgical procedure for tubal pregnancy in their only fallopian tube. In this group, one patient has been lost to follow-up, and one has intentionally avoided pregnancy, although tubal patency was documented by hysterosalpingogram. All the remaining patients have had at least one term pregnancy. The diagnosis was confirmed in all instances by laparoscopy prior to laparotomy. In 11 patients, the ectopic pregnancy was unruptured. One ectopic pregnancy had ruptured and one had resulted in a tubal abortion. All patients underwent essentially the same conservative procedure, performed by the same surgical team, with close adherence to the principles of microsurgery. This technique is described in detail. Since each of these patients had only one tube, this report reaffirms the value of conservative surgery for tubal pregnancy.

Adult↗